Financial Assistance

Cottage Health’s mission is to provide superior health care for and improve the health of our communities through a commitment to our core values of excellence, integrity and compassion.

As part of this mission, Cottage Health is pleased to offer a financial assistance program to patients unable to pay for emergency or medically necessary care.


Patients are eligible for a complete write-off of their medical bills (out-of-pocket portion only) if their family income does not exceed 500 percent of the federal poverty level. Patients whose family income is higher than 500 percent of the federal poverty level may be eligible for a discount. To determine eligibility, we ask for a completed Financial Assistance Application.

When a completed Financial Assistance Application is received, the patient/guarantor will be contacted by phone or email as a courtesy notification of our receipt. All accounts listed on the application will be placed on a temporary hold from the billing cycle, pending a final decision.

The application will be reviewed and a final determination letter will be mailed with an updated status within 14 business days from receipt. If additional documentation is needed, the patient/guarantor will be notified.

Financial Assistance Application Documents

To apply for financial assistance, please complete the application in your preferred language. The Cottage Health Business Office is available to assist with the completion of Financial Assistance Applications Monday through Friday between the hours of 8 a.m. - 4 p.m. You may also call to schedule an appointment at 805-879-8963.


Español (Spanish)

Tagalog (Tagalog)

漢語 (Mandarin)

Where to Obtain the Application, Policy and Assistance

To request a free copy of Cottage Health’s Financial Assistance Application and Policy, please call, email, mail or visit us:

Online: for downloading and printing

MyChart: Complete and submit your application and documentation via MyChart

Phone: Cottage Health Business Office at 805-695-2518 from 8 a.m.-6 pm., Monday-Friday


Mail: Cottage Health, Attention: Financial Assistance Program, P.O. Box 689, Santa Barbara, CA 93102

In Person: Any of our Cottage Health Emergency Departments, or the Business Office:

  • Santa Barbara Cottage Hospital | 400 W. Pueblo Street, Santa Barbara, CA 93105 | (805) 682-7111 extension 53692
  • Goleta Valley Cottage Hospital | 351 S. Patterson Avenue, Santa Barbara, CA 93111 | (805) 967-3411 extension 66484
  • Santa Ynez Valley Cottage Hospital | 2050 Viborg Road, Solvang, CA 93463 | (805) 688-6431 extension 74800
  • Cottage Health Business Office | 6550 Hollister Avenue, Goleta, CA, 93117 | Office hours: 8 a.m. - 4 p.m., Monday - Friday.

The Cottage Health Business Office offers help with completing the Financial Assistance Application during the hours of 8 a.m.-4 p.m. on Mondays through Fridays. You may also call to schedule an appointment at 805-879-8963.

Confidentiality: We are committed to maintaining the confidentiality of requests, information and funding. The information requested in the Financial Assistance Application is for the sole purpose of financial assistance. We DO NOT share information with any third parties, federal or local government agencies.